Individual provider Active NPI

Brian D Shannon, M.D.

  • Orthopaedic Surgery Physician
  • Hermitage, PA
National Provider Identifier
1891765673
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD418206 Issued in PA
Practice address
752 Brookshire Dr
Suite 3
Hermitage, PA 16148-4510
Phone
(724) 981-9310
Fax
(724) 981-9312
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD418206 PA
Orthopaedic Surgery Physician 207X00000X MD418206 PA Primary

Addresses

Primary practice location

752 Brookshire Dr
Suite 3
Hermitage, PA 16148-4510

Mailing address

752 Brookshire Dr
Suite 3
Hermitage, PA 16148-4510
Phone (724) 981-9310

Other identifiers 1

IdentifierTypeStateIssuer
0019085590010MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040813000424 OH Practitioner - Orthopedic Surgery 2769455252 Reassigns benefits to 1 organization
I20040823001449 PA Practitioner - Orthopedic Surgery 2769455252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

752 Brookshire Dr
Suite 3
Hermitage, PA 16148-4510
Phone (724) 981-9310

7630 Southern Blvd
Youngstown, OH 44512-5633

7641 Market St
Suite 2
Youngstown, OH 44512-5980
Phone (330) 965-4950

Hospital & facility affiliations

  • Southwoods Health at Home LLC Home health agency, Youngstown, OH, CCN 369307
  • Family Home Health LP Home health agency, Monroeville, PA, CCN 397221
  • Patriot Homecare, Inc Home health agency, Girard, OH, CCN 368406
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352
  • Sharon Regional Medical Center Hospital, Sharon, PA, CCN 390211
  • Upmc Horizon Hospital, Greenville, PA, CCN 390178
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • Grove City Medical Center Hospital, Grove City, PA, CCN 390266

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement12
Spinal fusion30
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD418206PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Orthopaedic Surgery CurrentSince Sep 20, 2017 Accepting new patients
Steward Sharon Regional Health System, Inc. Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

250 Debartolo Pl
Ste C
Youngstown, OH 44512

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

7641 Market St
Ste 2
Youngstown, OH 44512
Phone (330) 726-0156

250 Debartolo Pl
Ste B
Youngstown, OH 44512
Phone (234) 683-1015

752 Brookshire Dr
Ste 3
Hermitage, PA 16148
Phone (724) 718-4259

Interoperability endpoints

  • Direct secure messaging: brian.shannon.1@33638.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1891765673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 BROOKSHIRE DR",
            "address_2": "SUITE 3",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484510",
            "telephone_number": "724-981-9310",
            "fax_number": "724-981-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 BROOKSHIRE DR",
            "address_2": "SUITE 3",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161484510",
            "telephone_number": "724-981-9310",
            "fax_number": "724-981-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "BRIAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD418206",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD418206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019085590010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.